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220 N Elm Street Mt. View MO 65548-7109 | |
(417) 296-6563 | |
(417) 926-5820 |
Full Name | |
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Speciality | Clinic/Center |
Location | 220 N Elm Street, Mt. View, Missouri |
Authorized Official Name and Position | Thomas W. Keller (PRESIDENT AND CEO) |
Authorized Official Contact | 4172569111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 32 Mountain View MO 65548-0032 Ph: (417) 934-2273 | 220 N Elm Street Mt. View MO 65548-7109 Ph: (417) 296-6563 |
NPI Number | 1295815017 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 11/12/2020 |
Medicare PECOS PAC ID | 3870491863 |
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Medicare Enrollment ID | O20061212000208 |
Identifier | Type | State | Issuer |
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1295815017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |